Cleared Traditional

SmartAdjust technology

K203774 · Insulet Corporation · Chemistry

Jan 2022

Decision

400d

Days

Class 2

Risk

About This 510(k) Submission

K203774 is an FDA 510(k) clearance for the SmartAdjust technology, a Interoperable Automated Glycemic Controller (Class II — Special Controls, product code QJI), submitted by Insulet Corporation (Acton, US). The FDA issued a Cleared decision on January 27, 2022, 400 days after receiving the submission on December 23, 2020. This device falls under the Chemistry review panel. Regulated under 21 CFR 862.1356.

Submission Details

510(k) Number	K203774 FDA.gov
FDA Decision	Cleared SESE
Date Received	December 23, 2020
Decision Date	January 27, 2022
Days to Decision	400 days
Submission Type	Traditional
Review Panel	Chemistry (CH)
Summary	Summary PDF

Device Classification

Product Code	QJI — Interoperable Automated Glycemic Controller
Device Class	Class II — Special Controls
CFR Regulation	21 CFR 862.1356
Definition	An Interoperable Automated Glycemic Controller Is A Device Intended To Automatically Calculate Drug Doses Based On Inputs Such As Glucose And Other Relevant Physiological Parameters, And To Command The Delivery Of Such Drug Doses From A Connected Infusion Pump. Interoperable Automated Glycemic Controllers Are Designed To Reliably And Securely Communicate With Digitally Connected Devices To Allow Drug Delivery Commands To Be Sent, Received, Executed, And Confirmed. Interoperable Automated Glycemic Controllers Are Intended To Be Used In Conjunction With Digitally Connected Devices For The Purpose Of Maintaining Glycemic Control.